Evidence map›Paper›PMID 32079889›Full record

ArticleJournal of pediatric gastroenterology and nutrition2020

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Evaluation and Management for Patients With Very Early-onset Inflammatory Bowel Disease.

Judith R Kelsen, Kathleen E Sullivan, Shervin Rabizadeh, Namita Singh, Scott Snapper, Abdul Elkadri, Andrew B Grossman

Registry-linked trialAbstract readConsensus Statement
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04624230 (OPEN-LABEL INDUCTION AND MAINTENANCE STUDY OF ORAL CP-690,550), which is not on this map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04624230 phase3active not recruitingnot on this mapstarted 2021, after this paper: background citation

Open-label induction and maintenance study of oral cp-690,550 (tofacitinib) in children with moderately to severely active ulcerative colitis

TypeinterventionalSponsorPfizerRan2021 to 2029Enrolled118ConditionsUlcerative ColitisArmstofacitinib
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Guideline
  2. Saudi consensus guidance for the diagnosis and management of inflammatory bowel disease in children and adolescents.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Guideline
  3. A Systematic Review of Monogenic Inflammatory Bowel Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Pooled it
  4. Pooled it
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Judith R KelsenDivision of Gastroenterology, Hepatology, and Nutrition.
Kathleen E SullivanDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Shervin RabizadehDivision of Gastroenterology, Hepatology, and Nutrition, Cedar-Sinai Medical Center, Los Angeles, CA.
Namita SinghDivision of Gastroenterology, Department of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, WA.
Scott SnapperDivision of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School.
Abdul ElkadriDivision of Gastroenterology, Hepatology, and Nutrition, Medical College of Wisconsin, Milwaukee, WI.
Andrew B GrossmanDivision of Gastroenterology, Hepatology, and Nutrition.
Brigham and Women's Hospital · USCedars-Sinai Medical Center · USMedical College of Wisconsin · USSeattle Children's Hospital · USUniversity of Pennsylvania · US

Funding

Integration of genomics and transcriptomics to investigate biological pathways in very early onset IBDR01DK127044 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI KELSEN, JUDITH RACHEL · 2021 to 2025
$3.4M
Very Early-onset inflammatory bowel diseaseK23DK100461 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI KELSEN, JUDITH RACHEL · 2014 to 2018
$893k
An integrative approach to understanding the genetic basis of very early onset inflammatory bowel diseaseR01DK111843 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI KELSEN, JUDITH RACHEL · 2018 to 2020
$772k
NIDDK NIH HHS K23 DK100461NIDDK NIH HHS R01 DK111843NIDDK NIH HHS R01 DK127044
6 · The paper itself

Abstract

The rate of pediatric inflammatory bowel disease (IBD) has been increasing over the last decade and this increase has occurred most rapidly in the youngest children diagnosed <6 years, known as very early-onset inflammatory bowel disease (VEO-IBD). These children can present with more extensive and severe disease than older children and adults. The contribution of host genetics in this population is underscored by the young age of onset and the distinct, aggressive phenotype. In fact, monogenic defects, often involving primary immunodeficiency genes, have been identified in children with VEO-IBD and have led to targeted and life-saving therapy. This position paper will discuss the phenotype of VEO-IBD and outline the approach and evaluation for these children and what factors should trigger concern for an underlying immunodeficiency. We will then review the immunological assays and genetic studies that can facilitate the identification of the underlying diagnosis in patients with VEO-IBD and how this evaluation may lead to directed therapies. The position paper will also aid the pediatric gastroenterologist in recognizing when a patient should be referred to a center specializing in the care of these patients. These guidelines are intended for pediatricians, allied health professionals caring for children, pediatric gastroenterologists, pediatric pathologists, and immunologists.

Indexed as

ColitisGastroenterologyInflammatory Bowel DiseasesAdolescentAdultChildHumansNutritional StatusPhenotypeUnited States

Identifiers

PMID32079889
PMCPMC12024488
OpenAlexW2998419708

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.